This is from CME 4.0 guide
In networks that have a single router, you do not need to use the dialplan-pattern command.
In networks with multiple routers, you may need to use the dialplan-pattern command to expand
extensions to E.164 numbers because local extension numbering schemes can overlap each other.
Networks with multiple routers have authorities such as gatekeepers that route calls through the network.
These authorities use require E.164 numbers so that all numbers in the network will be unique. The
dialplan-pattern command expands extension numbers into unique E.164 numbers for that use.
There is more in CME 4.0 guide.